Provider Demographics
NPI:1407353535
Name:SILVERWOOD, CECILIA (LMT)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:SILVERWOOD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CANDY LN
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2508
Mailing Address - Country:US
Mailing Address - Phone:610-608-4831
Mailing Address - Fax:
Practice Address - Street 1:120 CANDY LN
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:PA
Practice Address - Zip Code:19403-2508
Practice Address - Country:US
Practice Address - Phone:610-608-4831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG002186225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist